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Individual

KYLE PEREBOROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1154 E MAIN ST STE 106, EL CAJON, CA 92021-7169
(619) 486-6448
Mailing address
4083 1ST AVE, SAN DIEGO, CA 92103-2044
(310) 428-3662

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
303694
CA

Other

Enumeration date
02/23/2023
Last updated
02/23/2023
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